Kristy Hogan, APRN - Medicare Nurse Practitioner in Russellville, AR

Kristy Hogan, APRN is a medicare enrolled "Nurse Practitioner - Family" in Russellville, Arkansas. Her current practice location is 402 W O St, Dean Hall, Room 126, Russellville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 368-0329.

Kristy Hogan is licensed to practice in Arkansas (license number A002907) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1073979969.

Contact Information

Kristy Hogan, APRN
402 W O St, Dean Hall, Room 126,
Russellville, AR 72801-8810
(479) 368-0329
Not Available



Provider's Profile

Full NameKristy Hogan
GenderFemale
SpecialityNurse Practitioner - Family
Location402 W O St, Russellville, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073979969
  • Provider Enumeration Date: 01/07/2016
  • Last Update Date: 01/07/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 4688944788
  • Enrollment ID: I20170722000288

Medical Identifiers

Medical identifiers for Kristy Hogan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073979969NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family A002907 (Arkansas)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kristy Hogan allows following entities to bill medicare on her behalf.
Entity NameArkansas Department Of Health Payroll Office
Entity TypePart B Supplier - Public Health/welfare Agency
Entity IdentifiersNPI Number: 1619195906
PECOS PAC ID: 5799696779
Enrollment ID: O20090801000049

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristy Hogan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kristy Hogan, APRN
402 W O St, Dean Hall, Room 126,
Russellville, AR 72801-8810

Ph: (479) 368-0329
Kristy Hogan, APRN
402 W O St, Dean Hall, Room 126,
Russellville, AR 72801-8810

Ph: (479) 368-0329

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Nurse Practitioner Nurses in Russellville, AR

Karen Michelle Branch, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2210 W Main St, Russellville, AR 72801
Phone: 479-968-8940    Fax: 479-968-8901
Ashley Mccoy, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 209 S Portland Ave, Russellville, AR 72801
Phone: 501-906-0000    
Mrs. Ashley Nichole Bennett, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1808 W Main St, Russellville, AR 72801
Phone: 479-968-2841    
Ms. Candace Darlene Welcher, APN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 101 Skyline Dr, Russellville, AR 72801
Phone: 479-968-2345    Fax: 479-890-2467
Margaret Danielle Mullins-moats, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3812 W Main St., Russellville, AR 72801
Phone: 479-968-1245    
Lindsey Sharp,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1808 W Main St, Russellville, AR 72801
Phone: 479-964-2198    

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